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SU0006536
Environmental Health - Public
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SU0006536
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Last modified
11/22/2019 2:40:31 PM
Creation date
11/22/2019 2:24:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006536
PE
2632
FACILITY_NAME
PA-0700180
STREET_NUMBER
3824
Direction
E
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
ACAMPO
APN
01322052
ENTERED_DATE
4/25/2007 12:00:00 AM
SITE_LOCATION
3824 E WOODBRIDGE RD
RECEIVED_DATE
4/24/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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ANIL <br /> . NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE IWIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006559 <br /> DATE RECEIVED by EHD: May 09,2007 APPL#: PA-0700180 ev•41-6. <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE& SUBMIT BY: Tue, May 29, 2007 <br /> Assigned to : EE0005366 IyiEDINA <br /> SITE ADDRESS: 3824 E WOODBRIDGE RD, ACAMPO APN : 01322052 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor ( Name of System <br /> SUMMARY OR COMMENTS: L124 <br /> 11:07 -SSR/NITRATE LOADING STUDY <br /> 11:05(a) <br /> 22:02 -PRIOR TO ISSUANCE OF BUILDING PERMITS <br /> 11:03(a) SSS/NLS <br /> 22:04 -THE EHD SHALL NOT SUPPORT THE USE OF THE EXISTING <br /> AG-WELL FOR DOMESTIC PURPOSES. <br /> 90:01 IF A FOOD FACILITY IS PROPOSED AND FOOD <br /> IS TO BE SERVED TO THE PUBLIC,THE FOLLOWING <br /> CONDTION SHALL APPLY: <br /> - Submit three (3) sets of food facility-construction-plans to the <br /> Environmental Health Department for review and approval <br /> all <br /> prior to beg nning construction. An annual food facility permit sh <br /> be require by the Environmental Health Department to operate <br /> the facility (California Health & Safety Code 27550 & 113785 ). <br /> owl 0 <br /> J <br /> Z7d� <br /> SUPERVISOR/LEAD SENIOR Approval: —i _ -- z d- Date: <br /> OA 11 Check Off List Proofread Report? CorrectlAND USE#? <br /> Correct CONDITION(S)`? AND in LAND USE Book? <br /> EH 06 06 Report#7201 Ma} !'.,-DO7 <br />
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